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EESHA KUNDRA
NPI 1487397063
Student in an Organized Health Care Education/Training Program in Macon, GA

Active since April 20, 2022PECOS Enrolled
777 HEMLOCK ST, MACON, GA 31201(832) 244-8306 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eesha Kundra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EESHA KUNDRA (NPI 1487397063) is an individual student in an organized health care education/training program in Macon, Georgia and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Missouri City, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1487397063
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameEESHA KUNDRA
Location Address777 HEMLOCK STMacon, GA 31201-2102
Mailing Address777 Hemlock StMacon, GA 31201-2102 · (478) 633-1000
Phone(832) 244-8306
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 20, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1487397063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
777 HEMLOCK ST, Macon, GA 31201
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Secondary Practice Location 1

Location 156 Palm BlvdMissouri City, TX 77459-4552 · Phone (832) 244-8306

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eesha Kundra is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082099353
PECOS Enrollment IDI20260212002201
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN WAGNER D.O.
Pediatrics
777 HEMLOCK ST, MSC 42
MACON, GA 31201
Bibb County (478) 633-7600
AMELIA CATHERINE LLERENA
Obstetrics & Gynecology
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-6701
JO BETH ROBERTS NP
Nurse Practitioner (Pediatrics)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-6706
RONALD KNIGHTS PHRAM. D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
777 HEMLOCK ST
MACON, GA 31201
Bibb County (478) 633-1434
MRS. DENA D MCKENNA PAAA
Anesthesiologist Assistant
777 HEMLOCK ST, MSC10
MACON, GA 31201
Bibb County (478) 633-1000
LOWELL CLARK MD
Pediatrics (Pediatric Critical Care Medicine)
777 HEMLOCK ST, MSC 83
MACON, GA 31201
Bibb County (478) 633-7140
RICHARD A SCHERER CRNA
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Bibb County (866) 507-5244
DEMETRA D MCGLOTHIN CRNA
Nurse Anesthetist, Certified Registered
777 HEMLOCK ST
MACON, GA 31201
Bibb County (866) 507-5244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eesha Kundra's NPI number?

The NPI number for Eesha Kundra is 1487397063. It was assigned to this individual provider in the NPPES registry on April 20, 2022.

Where is Eesha Kundra located?

Eesha Kundra practices at 777 Hemlock St, Macon, GA 31201. The listed phone number is (832) 244-8306.

What is Eesha Kundra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Eesha Kundra enrolled in Medicare?

Yes. Eesha Kundra is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Eesha Kundra was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.